,,ib ,union ,cal5d> ,no4 #cjd #aaf?     
,,congress  #b;d ,session  ,h4 ,r4 #dffe
 ,report ,no4 #aaf-cbg1 ,p>ts ,i & ,,ii 
,,9 ,,! ,,h\se ,,( ,,repres5tatives     
,octob] #aa1 #bjai,ms4 ,s*ri] 7= h]self1
 ,mr4 ,o',hall]an1 ,ms4 ,slotk91 & ,ms4 
,del,bene7 introduc$ ! foll[+ bill2 :i* 
0 ref]r$ to ! ,committee on ,en]gy &    
,comm]ce1 & 9 addition to ! ,committee  
on ,ways & ,means1 = a p]iod to be      
subsequ5tly det]m9$ by ! ,speak]1 9 ea* 
case = consid]ation ( su* provisions z  
fall )9 ! jurisdiction ( ! committee    
conc]n$  ,decemb] #f1 #bjai,report$ f ! 
,committee on ,ways & ,means ) an       
amendment,strike out all aft] ! enact+  
clause & ins]t ! "p pr9t$ 9 italic      
,janu>y #bd1 #bjbj;,additional sponsors3
 ,ms4 ,ca/or ( ,florida1 ,ms4 ,norton1  
,mr4 ,cuell>1 & ,mr4 ,wel*  ,janu>y #bd1
 #bjbj,report$ f ! ,committee on ,en]gy 
& ,comm]ce1 committ$ to ! ,committee ( !
 ,:ole ,h\se on ! ,/ate ( ! ,union1 &   
ord]$ to be printed,for text ( introduc$
 bill1 see copy ( bill z introduc$ on   

,octob] #aa1 #bjai  ,a ,,bill  ,to am5d 
title ,,xviii ( ! ,social ,security ,act
 to provide cov]age = c]ta9 vision items
 & s]vices "u "p ,b ( ! ,m$ic>e program4
  #a4 ,%ort title ,?is ,act may be cit$ 
z ! ,m$ic>e ,vision ,act ( #bjai4  #b4  
,provid+ cov]age = vision c>e "u !      
,m$ic>e program  7a7 ,cov]age ,section  
#ahfa7s77#b7 ( ! ,social ,security ,act 
7#db ,u4,s4,c4 #aciex7s77#b77 is am5d$--
  7#a7 9 subp>agraph 7,,gg71 by /rik+ & 
aft] ! semicolon at ! end2  7#b7 9      
subp>agraph 7,,hh71 by /rik+ ! p]iod at 
! end & add+ 2 &2 &  7#c7 by add+ at !  
end ! foll[+ new subp>agraph3  7,,ii7   
vision s]vices 7z def9$ 9 subsection    
7kkk772  4  7b7 ,vision s]vices def9$   
,section #ahfa ( ! ,social ,security    
,act 7#db ,u4,s4,c4 #aciex7 is am5d$ by 
add+ at ! end ! foll[+ new subsection3  
7kkk7 ,vision s]vices ,! t]m vision     
s]vices means-- 7#a7 r\t9e eye          
exam9ations to det]m9e ! refractive /ate
 ( ! eyes1 includ+ proc$ures p]=m$ dur+ 
! c\rse ( su* exam9ation2 &  7#b7       

contact l5s fitt+ s]vices2  furni%$ on  
or aft] ,janu>y #a1 #bjbb1 by or "u !   
direct sup]vision ( an optometri/ or    
oph?almologi/ :o is legally au?oriz$ to 
furni% su* exam9ations1 proc$ures1 or   
fitt+ s]vices 7z applicable7 "u ,/ate   
law 7or ! ,/ate regulatory me*anism     
provid$ by ,/ate law7 ( ! ,/ate 9 :i* ! 
exam9ations1 proc$ures1 or fitt+ s]vices
 are furni%$4  4  7c7 ,paym5t2          
co9surance2 & limitations  7#a7 ,9 g5]al
 ,section #ahcc7;a77#a7 ( ! ,social     
,security ,act 7#db ,u4,s4,c4           
#aciel7a77#a77 is am5d$--  7,a7 by /rik+
 & be=e 7,,cc72 &  7,b7 by ins]t+ be=e !
 semicolon at ! end ! foll[+3 1 & 7,,dd7
 ) respect to vision s]vices 7z def9$ 9 
section #ahfa7kkk771 ! am\nt paid %all  
be equal to #hj p]c5t ( ! less] ( !     
actual *>ge or ! am\nt det]m9$ "u !     
paym5t basis det]m9$ "u section #ahdh4  
7#b7 ,limits specifi$ ,section #ahcd ( !
 ,social ,security ,act 7#db ,u4,s4,c4  
#aciem7 is am5d$ by add+ at ! end !     
foll[+ new subsection3  7x7 ,limitation 

= vision s]vices ,) respect to vision   
s]vices 7z def9$ 9 section #ahfa7kkk77 &
 an individual1 paym5t may be made "u   
?is "p = only #a r\t9e eye exam9ation   
describ$ 9 p>agraph 7#a7 ( su* section &
 #a contact l5s fitt+ s]vice describ$ 9 
p>agraph 7#b7 ( su* section dur+ a      
#b-ye> p]iod4  4  7d7 ,paym5t "u        
physician fee s*$ule  7#a7 ,9 g5]al     
,section #ahdh7;j77#c7 ( ! ,social      
,security ,act 7#db ,u4,s4,c4           
#aciew-#d7;j77#c77 is am5d$ by ins]t+   
7#b77;,,ii71 be=e 7#c74  7#b7 ,budget   
neutrality ,section                     
#ahdh7;c77#b77;,b77iv7 ( ! ,social      
,security ,act 7#db ,u4,s4,c4           
#acie-w7c77#b77;,b77iv77 is am5d$--     
7,a7 9 subclause 7,,iii71 by /rik+ & at 
! end2  7,b7 9 subclause 7,,iv71 by     
/rik+ ! p]iod at ! end & ins]t+ 2 &2 &  
7,c7 by add+ at ! end ! foll[+ new      
subclause3  7,v7 ! am5dm5t made by      
section #b7;d77#a7 ( ! ,m$ic>e ,vision  
,act ( #bjai %all n be tak5 into acc\nt 
9 apply+ clause 7ii77,,ii7 = #bjbb &    

#bjbc4  4  7e7 ,cov]age ( conv5tional   
eyeglasses & contact l5ses ,section     
#ahfa7s77#h7 ( ! ,social ,security ,act 
7#db ,u4,s4,c4 #aciex7s77#h77 is am5d$  
by /rik+ 1 & includ+ "o pair (          
conv5tional eyeglasses or contact l5ses 
furni%$ subsequ5t to ea* cat>act surg]y 
) ins]tion ( an intraocul> l5s & ins]t+ 
1 includ+ "o pair ( conv5tional         
eyeglasses or contact l5ses furni%$     
subsequ5t to ea* cat>act surg]y )       
ins]tion ( an intraocul> l5s1 if furni%$
 be=e ,janu>y #a1 #bjbb1 & includ+      
conv5tional eyeglasses or contact l5ses1
 :e!r or n furni%$ subsequ5t to su* a   
surg]y1 if furni%$ on or aft] ,janu>y   
#a1 #bjbb4  7f7 ,special paym5t rules = 
eyeglasses & contact l5ses  7#a7        
,limitations ,section #ahcd7;h7 ( !     
,social ,security ,act 7#db ,u4,s4,c4   
#aciem7h77 is am5d$ by add+ at ! end !  
foll[+ new p>agraph3  7#f7 ,paym5t      
limitations = eyeglasses & contact l5ses
  7,a7 ,9 g5]al ,) respect to eyeglasses
 & contact l5ses furni%$ to an          

individual on or aft] ,janu>y #a1 #bjbb1
 subject to subp>agraph 7,b71 paym5t may
 be made "u ?is "p only--  7i7 dur+ a   
#b-ye> p]iod1 = ei!r #a pair (          
eyeglasses 7includ+ l5ses & frames7 or a
 #b-ye> supply t is provid$ 9 n m ?an   
#ahj-;day increm5ts ( contact l5ses2    
7ii7 ) respect to am\nts attributable to
 ! frames ( su* a pair ( eyeglasses &   
am\nts attributable to contact l5ses    
furni%$ dur+ a ye>1 9 an am\nt n great] 
?an--  7,i7 = #bjbb1 #ajj2 &  7,,ii7 = a
 subsequ5t ye>1 ! am\nt specifi$ "u ?is 
subp>agraph = ! previ\s ye>1 increas$ by
 ! p]c5tage *ange 9 ! consum] price     
index = all urban consum]s dur+ su*     
previ\s ye>2  7iii7 = types ( eyeglass  
l5ses1 & = types ( contact l5ses1 z     
det]m9$ appropriate by ! ,secret>y2     
7iv7 if furni%$ pursuant to a writt5    
ord] ( a physician describ$ 9 section   
#ahfa7kkk72 &  7v7 if dur+ ! #b-ye>     
p]iod describ$ 9 clause 7i71 !          
individual did n already receive 7z     
describ$ 9 subp>agraph 7,b77 "o pair (  

conv5tional eyeglasses or contact l5ses 
subsequ5t to a cat>act surg]y ) ins]tion
 ( an intraocul> l5s furni%$ dur+ su*   
p]iod4  7,b7 ,exception ,) respect to a 
#b-ye> p]iod describ$ 9 subp>agraph     
7,a77i71 9 ! case ( an individual :o    
receives cat>act surg]y ) ins]tion ( an 
intraocul> l5s1 not)/&+ subp>agraph     
7,a71 paym5t may be made "u ?is "p = "o 
pair ( conv5tional eyeglasses or contact
 l5ses furni%$ subsequ5t to su* cat>act 
surg]y dur+ su* p]iod4  4  7#b7         
,application ( competitive acquisition  
7,a7 ,9 g5]al ,section                  
#ahcd7;h77#a77;,h7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4 #aciem7h77#a77;,h77
 is am5d$-- 7i7 9 ! head] by ins]t+ 1   
eyeglasses1 & contact l5ses aft]        
or?otics2  7ii7 by ins]t+ & ( eyeglasses
 & contact l5ses describ$ 9 p>agraph    
7#b77;,d7 ( su* section1 aft] #bjji1 2 &
  7iii7 9 clause 7i71 by ins]t+ or su*  
eyeglasses & contact l5ses aft]         
or?otics4  7,b7 ,con=m+ am5dm5t  7i7 ,9 
g5]al ,section #ahdg7;a77#b7 ( ! ,social

 ,security ,act 7#db ,u4,s4,c4          
#aciew-#c7;a77#b77 is am5d$ by add+ at !
 end ! foll[+ new subp>agraph3  7,d7    
,eyeglasses & contact l5ses ,eyeglasses 
& contact l5ses = :i* paym5t w\ld       
o!rwise be made "u section #ahcd7;h74  4
  7ii7 ,exemption ( c]ta9 items f       
competitive acquisition ,section        
#ahdg7;a77#g7 ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #aciew-#c7;a77#g77 is   
am5d$ by add+ at ! end ! foll[+ new     
subp>agraph3  7,c7 ,c]ta9 eyeglasses &  
contact l5ses ,^? items & s]vices       
describ$ 9 p>agraph 7#b77;,d7 if furni%$
 by a physician or o!r practition] 7z   
def9$ by ! ,secret>y7 to ! physician's  
or practition]'s own pati5ts z "p ( !   
physician's or practition]'s pr(essional
 s]vice4  4  7g7 ,exclusion             
modifications ,section #ahfb7;a7 ( !    
,social ,security ,act 7#db ,u4,s4,c4   
#aciey7a77 is am5d$-- 7#a7 9 p>agraph   
7#a7--  7,a7 9 subp>agraph 7,o71 by     
/rik+ & at ! end2  7,b7 9 subp>agraph   
7,p71 by /rik+ ! semicolon at ! end &   

ins]t+ 1 &2 &  7,c7 by add+ at ! end !  
foll[+ new subp>agraph3  7,q7 9 ! case (
 vision s]vices 7z def9$ 9 section      
#ahfa7kkk77 t are r\t9e eye exam9ations 
& contact l5s fitt+ s]vices 7z describ$ 
9 p>agraph 7#a7 or 7#b71 respectively1 (
 su* section71 :i* are furni%$ m        
frequ5tly ?an once dur+ a #b-ye> p]iod2 
2 &  7#b7 9 p>agraph 7#g7-- 7,a7 by     
ins]t+ 7o!r ?an su* an exam9ation t is a
 vision s]vice t is cov]$ "u section    
#ahfa7s77#b77;,,ii77 aft] eye           
exam9ations2 &  7,b7 by ins]t+ 7o!r ?an 
su* a proc$ure t is a vision s]vice t is
 cov]$ "u section #ahfa7s77#b77;,,ii77  
aft] refractive /ate ( ! eyes4  #c4     
,implem5tation fund+ ,! ,secret>y (     
,heal? & ,human ,s]vices %all provide = 
! transf] f ! ,f$]al ,supplem5t>y       
,m$ical ,insurance ,tru/ ,fund "u       
section #ahda ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #aciet7 to ! ,c5t]s =   
,m$ic>e  ,m$icaid ,s]vices ,program     
,managem5t ,acc\nt = ! p]iod ( #bjbj    
?r\gh #bjbd ( su* sums z may be necess>y

 = purposes ( implem5t+ ! am5dm5ts made 
by section #b4  ,janu>y #bd1 #bjbj      
,report$ f ! ,committee on ,en]gy &     
,comm]ce1 committ$ to ! ,committee ( !  
,:ole ,h\se on ! ,/ate ( ! ,union1 &    
ord]$ to be pr9t$